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Tuesday, August 30, 2011

The Birth of Adrian Christopher (vba2c)

     My induction was scheduled for Fri, Aug 26, at 5:00. We had decided to induce because of his size (estimated 8lb14oz 2 weeks before) and the fact that I was positive I was 8 days ahead of the official due date. At my Tuesday appointment I was 1-2 cm and 60-70% effaced and was hoping I had made progress.
     I went to my Fri appointment at 2:45 and had my final biophysical profile. Everything looked good and I went to do my NST. After a few minutes on the monitor, I got a phone call. It was one of the doctors from L&D and they wanted me to come in early. They said to have the nurse take me off the monitor and to come right to L&D. I was disappointed, as I hadn't eaten and wanted to get dinner before we started. I grabbed an apple and scarfed it down on the way over.
     Because of my previous c-sections, we couldn't use Cervidil or Cytotec because of the risk of uterine rupture so we had decided to try a Foley Bulb induction. Basically, they insert a foley catheter tube into the cervix, and inflate the balloon to manually dilate me to 3 cm or so and then it would fall out. The plan was to leave it in overnight, and start pitocin at 8 am. We got there, filled out paperwork and consents, and I got into my gown, started my i.v. and they put me on the monitor. They came in and checked me and I was the same as Tue, 1cm and 60-70% effaced. They inserted the Foley Bulb and it wasn't too bad, but as soon as the balloon was inflated, I felt intense pressure and had back to back strong contractions, almost on top of each other. A little over an hour later, after constant contractions I asked to go to the bathroom. I was told I was not allowed up and could use a bedpan. When I used the bedpan, the Foley Bulb popped out and I couldn't stop going. I also felt this incredible relief from the pressure and contractions. I wondered if my water had broken. The dr checked me and my water was indeed broken, and I was dilated to a 4. They immediately started i.v. antibiotics as I was GBS+. I was excited. Things seemed to be progressing quickly.
     I continued to contract throughout the night and after my water was broken they were very intense and painful. The dr's wouldn't check me as my membranes were ruptured and they didn't want to risk infection. By 1 am I was in so much pain I finally caved and asked for an epidural. I had previously said I didn't want one, but I will never again think less of someone for getting one! My spinals with my c-sections were so bad I was terrified, but it was almost painless (probably because I was distracted by the contractions). After getting the epidural, I was able to sleep a little though I didn't get much rest because baby's heart rate kept dropping and I had to wear an oxygen mask and lie on my left side. I had this witchy nurse who told me I would have to start an insulin drip and glucose drip once the Pitocin was started. I told her, I had already discussed this with my dr and that he said I could keep my insulin pump and continuous glucose monitor and not have the drips. He had said I could manage my own blood sugars and not be on an ADA diet since I eat lower carb than their recommendations. She said we would see about that.
     At 8 am, Dr. Baker came in and checked me. I was 4-5 cm, hardly any progress for all the pain! So glad I got the epi. I asked about keeping my pump and cgm and he said no problem. The nurse didn't say anything. The started the Pitocin and within an hour or so I was at 7 cm, and 100% effaced. After another hour I was at 9 and at -1. By this point my epidural had stopped working on my left side, but nobody acted like they believed me. I felt every contraction but only on the left. Around 1 they checked me and I was complete and +1 and was told I could start pushing soon. I was really excited and ready to go. A few minutes later the dr. comes in and says he wants to wait until I am at +2. I was so disappointed. It wasn't long though that I was checked again and told I was at +2. One of the residents came in and said we would start pushing. I was freaking out at this point because Matt had gone outside thinking we had plenty of time. I called him and he was just down the hall thank goodness. The dr told me to go ahead and push. I gave a good push and she's like "stop"! She gets on the phone and tells Dr Baker if he wants to deliver me he better get in there.
     Dr. Baker comes in with a bunch of other dr's (later I found out various years of residents and med students). I guess vba2c is pretty rare and they wanted to watch. They had me wait til the very peak of a contraction and then push. This was crazy hard as I had this incredible urge to push and pushing made the pain better. After a couple rounds of pushing someone told me to reach down and touch my baby's head. It was the most surreal experience. A couple more pushes and he was out! They let me lift him up on my chest and I immediately started bawling. I couldn't believe I was holding my baby and I had actually done it! I got my vbac. I really didn't think it was going to happen until he was actually out. The dr had gone on about how big the baby was and how he might get stuck. I prayed over and over for God to please not let me rupture and to protect my baby. They let Matt cut the cord and I got to snuggle with Adrian for an hour before they took him. I was so thrilled. The dr's and nurses were taking bets on how big he was. Everyone said over 9lb. He was 8lb12oz (2 oz less than the estimate 2 weeks before!) and 21.5 inches long. I did tear pretty badly. It was only 2nd degree but I tore every which way. It took over an hour to stitch me up and the dr told me he had never used that many sutures on a repair. I didn't care though. I was on a high. It was the most amazing experience of my life.
     I am so grateful that I got this experience. I really feel like I got the healing birth that I longed for. Just about every nurse commented on my "extensive repair" and asked if I wish I had just gotten the c-section. I say most definitely not! The difference in recovery is like night and day. I was feeling great and up and around in a couple hours. I was eating and wearing my own pajamas. We are now 3 days post partum and things are going great! He nurses like a pro and I am recovering well. We did have to stay 48 hours because my water had been broken for so long and I was GBS+ but everything was fine. Adrian and Daddy are already good buddies.  Matt can get him to stop crying every time.
* Edited to add in:  my blood sugars stayed between 70-125 the entire time and Adrian did not have any low blood sugars as I was told he would (haha).

Saturday, August 20, 2011

38 weeks

     Still pregnant!  I've tried every natural induction method I can find short of castor oil etc.  This child is apparently stubborn.  He is still doing well on the monitoring.  Had good results yesterday.  On Tues I was checked and was at 1-2 cm and baby was well engaged.  I also had her sweep my membranes which I had heard was uncomfortable but omg OUCH.  I had steady contractions and "bloody show" for the rest of the day but nothing came of it.  I am scheduled to be induced on Fri, Aug 26, which has been the due date I've had in my head since the beginning.  Their official Sep 3 due date is not possible, but oh well, it doesn't really matter at this point does it?   I am still hoping to go into labor on my own as interventions lead to c-section.  I've been having more lows and had to lower my basals after 3 lows during the night.  Hoping this will be my last "pregnant" blog.  Wish me luck!

Friday, August 12, 2011

37 weeks

   37 weeks!  We are now officially full-term.  I had my monitoring today along with a growth scan.  The monitoring went fine but Adrian measured 8lb14oz!  I know the estimates can be off but that is concerning.  It seems so unfair that he is so big.  I've done so well with my diet and haven't eaten junk, and my blood sugars have been great for the most part.

      I am currently trying all the natural methods to induce labor that I can think of.  Hoping the full moon this weekend will help as well.  Just had eggplant parmigiana for dinner and it was delicious.  Hope it works!  My Group B Strep test came back positive, so I will have to have antibiotics when I have the baby, but I guess it really doesn't matter as I will have to have an i.v. anyway.

     My a1c was 5.7 again.  I thought it would be lower, but the sustained high when I had the site issue probably made it higher.  They are happy with it though as it is still below 6.  My numbers are still great, though I'm continuing to have lows.

Saturday, August 6, 2011

36 weeks

     It's been a pretty uneventful week after last week's excitement.  The twice a week monitoring has gone well.  Adrian is really big!  I could tell at the last ultrasound he had visibly grown.  I have my next growth scan next Friday so we'll see what his estimated weight is.  I saw Laura the NP/midwife last week and will see Dr. Baker this week.  The kids are back in school so maybe Matt can go with me (hint hint).

     So as of this morning I *think* Adrian has turned back head down.  The bump in my upper right belly is squishier and when I poke down low it feels hard.  Also been having low down pressure and higher kicks!  Pray I am right!  I so do not want another c-section!

      I am so miserable at this point.  The belly/back pain has not let up at all and I am not sleeping well at all (normal I know). My stretch mark fear was right as well!  I'm getting new ones :(  As of Friday I was up 29lb so I'm hoping I don't gain  much more.  I read somewhere that weight gain is the same with each pregnancy regardless of diet and it seems to be proving true.

     At least I have kept my insulin doses down eating primal.  At 8 months pregnant I am taking half what I took at this point with Aidan and Diana.  The lows have also definitely set in.  I thought they had before, but I've had a lot  more lows lately.  The end is in sight!  I can't wait to meet this little boy and hold him.

Tuesday, August 2, 2011

35 weeks

     It's been a crazy week.  At my Tue appt they discovered Adrian had gone breech after being head down for a while. I've been trying every technique I can think of, but so far they haven't worked.  He did well on the monitoring and I was down two lb.

     On Friday night I was rubbing on some good old coconut oil on my belly trying to ward off the stretch marks.  I accidentally got  some on my pump site and the adhesive started loosening up.  I thought it was ok though and went to bed.  When I woke up I was not feeling well.  I was nauseated and just felt bad all around.  My Dexcom had been beeping all night long, but I had ignored it because I had taken Tylenol before bed and that makes artificially high readings on the Dexcom.  I did a finger stick and was around 300.  I bolused for it and two hours later had not come down at all. I changed out my site and saw that the cannula was slightly bent and was partially pulled out. I bolused again and drank some Maalox for the nausea.  I called Matt and told him what was going on and asked him to go buy me some ketone test strips on his way home.  I did a urine ketone test and it instantly turned dark burgundy- large ketones. From this I knew I needed to call the doctor, who of course told me to go to L&D.  During the ride to Savannah, I started having contractions around 4 minutes apart. When we got to L&D the monitor was showing them 2 min apart. The dr checked me and I was only dilated a fingertip.  The labs showed massive ketones in my blood and my CO2 level was way off.  I was put on an insulin drip and fluids because of the dehydration.  My mom came and got the kids. Thank goodness they aren't too far away.
     After a few hours my numbers were back in the normal range but my CO2 was still abnormal and I still had some ketones so they put me on d5 (dextrose) with half normal saline and potassium to get rid of the ketones.  I also wasn't allowed to eat until Sunday which was completely miserable since I hadn't had anything    to eat since Friday night.  I again had to fight the diet battle, but it wasn't so bad this time.  They of course had me on an ADA diet (the dr said it would be malpractice to put me on a normal diet lol) but I could order basically what I wanted (no high fat of course).  My numbers were great Sunday with a couple lows and Mon  they finally let me go after my labs normalized. Apparently Adrian was not looking well at all when I came in but was looking great by the time I left.  Matt stayed with me the entire time, which made me feel a lot better. Being alone in the hospital is no fun.
     I have an appointment this morning (Tuesday) so we'll see how Adrian is doing, and I will be meeting with Dr. Baker and find out his opinion on induction at 39 weeks (40 by my count) and I'm going to ask about turning the baby as well if he doesn't turn by then.